Syllabi
Faulty Movement Patterns: Assessment/Rehabilitation to
Athletic Development
o Functional Pathology of the Motor System
o Faulty posture
o Predictable muscle imbalances
o Faulty movement patterns
o Regional interdependence
o Functional assessment
o The Functional Screen – The Magnificent 7
1. ROM
2. T4 mobility
3. Overhead squat
4. 1 leg stance balance
5. 1 leg squat
6. Lunge
7. Respiration
o Clinical Audit Process
o Activity Intolerances
o Mechanical Sensitivities
o Abnormal Motor Control
o Sacred Cows
 Sit-ups
 Transverse abdominus
 Prone superman
 Trunk flexion
 Hip press
o Problem-Solving– The Magnificent 7
o ROM – McKenzie, etc
o T4-8 extension mobilizations
o Squat/Hip Hinge
o Balance/Foot
o Single Leg Training
o Lunge
o Breathing Re-education
o Functional Capacity Evaluation
o Side Plank
o Forward Plank
o Trunk Flexion
o Trunk Extension
o 1 leg standing balance
o C0-C1 flexion coordination
o The Pain Neuromatrix
o
o
o
o
o
o Tissue vs Brain
o Up-regulation vs Down-regulation
o Inflammation vs sensitization
o Adrenals/threat/cortisol
o Myelination/Neural Adaptation
Prague School Tests
o Diaphragm
o IAP
o Neck/Trunk Flexion
o Arm Lifting
o Hip Abduction
o Vele’s forward inclination
Lunge Workshop
o Assessment/tweaks w/ arms
o Reverse lunges (step/slide)
o Janda lunge
o Psoas stretch
o Anterior hip capsule mobilization
o Expansion of brain receptor field for kinaesthetic reprogramming
Functional Integrated Core-Lower Quarter Workshop
o Hamstring curls w/ ball
o Janda’s trunk perturbations & Vele’s transverse arch facilitation
o Vleeming’s SLR
o IAP/Squat/Dying bug
o Foam roll marching
Functional Integrated Core-Upper Quarter Workshop
o Labral insufficiency & overhead tasks
o Closed chain training
o Wall angel slide
o Kolar arm lift
o Stir the pot
o Stability ball roll out
o Turkish get up
o Horizontal pulls (pull downs/ horizontal row/ shoulder packing Y
exercise)
o Horizontal push
o Lat stretches
o T4-8 extension mobilization
o Mid-back rotation
Core Stability in the Frontal Plane
o 1 leg squat
o Hip abduction
o Lateral band walk
o Monster walk
o Farmer’s walk
o IT band foam roll
o Sister Kenny gluteus medius facilitation
o Vojta reflex locomotion
o Lateral squats/1 leg hops/lateral jumps/lateral slides
o Single Leg Training
o 1 leg squat
o supported functional reach
o inverted hamstring
o 1 leg dead lifts
o balance reach
o wall ball
o 1 leg box squat
o pirformis/posterior hip capsule mobilization
o ankle mobilization (leg swings)
o Eccentric step training
o 1 leg hop/ X hop
o Plyometrics
o Increase power/speed/rate of force development
o Squat jumps
o Lunge jumps
o Runner’s marches
Bibliography:
1.
Boyles RE, Ritland RM, Miracle BM, et al. The short-term effects of thoracic
thrust manipulation on patients with shoulder impingment syndrome. Man Ther
2009;14:375-380.
2.
Byl N, Sinnot PL 1991 Variations in balance and body sway in middle-aged
adults: subjects with healthy backs compared with subjects with low-back
dysfunction. Spine 16:325-30.
3.
Cholewicki, J., and McGill, S.M., Mechanical stability of the in vivo lumbar
spine: Implications for injury and chronic low back pain, Clin. Biomech.
1996;11(1):1-15.
4.
Cholewicki J, Simons APD, Radebold A 2000. Effects of external loads on
lumbar spine stability. Journal of Biomechanics 33:1377-1385.
5.
Cholewicki J, Greene HS, Polzhofer GK, Galloway MT, Shah RA, Radebold A
2000. Neuromuscular function in athletes following recovery from a recent acute
low back injury. J Orthop Sports Phys Ther 32:568-575.
6.
Cholewicki J, Silfies SP, Shah RA, Greene HS, Reeves NP, Alvi K, Goldberg B.
Delayed trunk muscle reflex responses increase the risk of low back injuries.
Spine. 2005 Dec ;30(23):2614-20.
7.
Cleland JA, Childs JD, Fritz JM, Whitman JM, Eberhart SL. Development of a
clinical prediction rule for guiding treatment of a subgroup of patients with neck
pain: Use of thoracic spine manipulation, exercise, and patient education. Phys
Ther 2007;87:9-23.
8.
Croft PR, Macfarlane GJ, Papageorgiou AC, Thomas E, Silman AJ. Outcome of
low back pain in general practice: a prospective study. BMJ 1998;316:1356-1359.
9.
Crombez G, Vlaeyen JW, Heuts PH,et al.Pain-related fear is more disabling than
pain itself:evidence on the role of pain-related fear in chronic back pain disability.
Pain 1999;80:329–39.
10. Dome, D.C.; Kibler, W.B. Evaluation and Management of Scapulothoracic
Disorders. Current Opinion in Orthopaedics 17(4): pgs. 321-324, 2006.
11. Hahne A, Keating JL, Wilson S. Do within-session changes in pain intensity and
range of motion predict between-session changes in patients with low back pain.
Australian Journal of Physiotherapy 2004;50:17-23.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
Hewett TE, Paterno MV, Myer GD. Strategies for enhancing proprioception and
neuromuscular control of the knee. Clin Orthop Rel Res 2002;402:76-94.
Hicks GE, Fritz JM, Delitto A, McGill SM. Preliminary development of a clinical
prediction rule for determining which patients with low back pain will respond to
a stabilization exercise program. Arch Phys Med Rehabil. 2005 Sep;86(9):175362.
Hides JA, Jull GA, Richardson CA. Long-term effects of specific stabilizing
exercises for first-episode low back pain. Spine 2001;26:e243-e248
Hodges PW, Richardson CA 1998. Delayed postural contraction of the transverse
abdominus associated with movement of the lower limb in people with low back
pain. J Spinal Disord 11:46-56.
Jull G, Trott P, Potter H, Zito G, Niere K, Emberson J, Marschner I, Richardson
C. A randomised control trial of physiotherapy management of cervicogenic
headache. Spine 2002;27:1835-1843.
Jull G, Kristjansson E, Dalll’Alba P. Impairment in the cervical flexors: a
comparison of whiplash and insidious onset neck pain patients. Man Ther
2004;9:89-94.
Kavcic N. Grenier S, McGill SM. Determining the stabilizing role of individual
torso muscles during rehabilitation exercises. Spine 2004;29:1254-1265.
Kibler WB. Shoulder rehabilitation: principles and practice. Med Sci Sports Exerc
30(4):Suppl S40-S50, 1998.
Kibler, WB; Sciascia, AD. The Shoulder in Tennis. Journal of Orthopaedic and
Sports Traumatology 22(4): pgs. 223- 230, 2006.
Kolár, P. The sensomotor nature of postural functions, Its fundamental role in
Rehabilitation, J. Orthopedic Medicine 21, 2, 1999 40-45
Koubmantakis GA, Watson PJ, Oldham JA. Trunk muscle stabilization plus
general exercise versus general exercise only: Randomized controlled trial of
patients with recurrent low back pain. Phys Ther 2005;85:209-225.
Liebenson, C., Karpowicz, A., Brown, S., Howarth, S., McGill, S.M. (2009) The
active straight leg raise test and lumbar spine stability. Physical Medicine and
Rehabilitation. 1 (6): 530-535.
Liebenson CS. Pathogenesis of Chronic Back Pain. JMPT, 15:5, 1992.
Liebenson CS, Hyman J, Gluck N, Murphy D. Spinal stabilization therapy. Topics
in Clinical Chiropractic, 3;60-74, 1996.
Liebenson CS. Rehabilitation and chiropractic practice:Literature review and
practical aspects. JMPT, 19;134-140, 1996.
Liebenson CS. Yeomans S. Outcomes assessment in musculoskeletal medicine.
Journal of Manual Therapy, 2;67-75, 1997.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
Liebenson CS. The safe back workout. JNMS,7(1), 1999.
Liebenson CS. Motivating pain patients to become more active. Journal of
Bodywork and Movement Therapies, 3;143-146, 1999.
Liebenson CS, Yeomans SG. Yellow Flags: Early identification of risk factors of
chronicity in acute patients. J Rehabil Outcomes Meas, 4 (2), 31-40, 2000.
Skaggs C, Liebenson CS. Orofacial Pain. Top Clin Chiropr 2000;7(2): 43-50.
Liebenson CS. Improving activity tolerance in pain patients: A cognitivebehavorial approach to reactivation. Top Clin Chiropr 2000;7(4): 6-14.
Liebenson CS. Advice for the clinician and patient: Are prolonged sitting postures
bad for the back. Journal of Bodywork and Movement Therapies, 6;3:151-155,
2002.
Liebenson CS. Advice for the clinician and patient: Spinal stabilization – an
update. Part 1 - biomechanics. Journal of Bodywork and Movement Therapies,
8;2:80-87, 2004.
Liebenson CS. Advice for the clinician and patient: Spinal stabilization – an
update. Part 2 – functional assessment. Journal of Bodywork and Movement
Therapies, 8;2:199-213, 2004.
Liebenson CS. Advice for the clinician and patient: Spinal stabilization – an
update. Part 3 - training. Journal of Bodywork and Movement Therapies,
8;2:278-287, 2004.
Liebenson CS. Work wounds. Training and Conditioning, October 2004 Vol.
XIV, No. 7 .
Liebenson CS. Advice for the clinician and patient: Self-treatment advice and the
McKenzie approach for back trouble. Journal of Bodywork and Movement
Therapies, 9;1: 2005.
Liebenson CS. The importance of the functional examination in patient-centered
care for back patients. Kiropraktoren Nov; 4-8, 2005.
Liebenson, C., Karpowicz, A., Brown, S., Howarth, S., McGill, S.M. (2009) The
active straight leg raise test and lumbar spine stability. Physical Medicine and
Rehabilitation.1(6): 530-535
Long A, Donelson R, Fung T. Does it matter which exercise? Spine
2004;29:2593-2602.
Mannion AF, Junge A, Taimela S, Muntener M, Lorenzo K, Dvorak J. Active
therapy for chronic low back pain. Part 3. Factors influencing self-rated disability
and its change following therapy. Spine 2001;26:920-929.
Mascal CL, Landel R, Powers C. Management of patellofemoral pain targeting
hip, pelvis, and trunk muscle function: 2 case reports. J Ortho Sp Phys Ther
2003;33:647-660.
McGill S. Stability: from biomechanical concept to chiropractic practice. J Can
Chiro Assoc 1999;43:75-87.
McGill, S.M., Low Back Exercises: Evidence for improving exercise regimens,
Physical Therapy, 1998; 78: 754-765.
McGill SM, Sharratt MT, Seguin JP 1995. Loads on the spinal tissues during
simultaneous lifting and ventilatory challenge, Ergonomics 38: 1772-1792.
McGill S, Grenier S, Bluhm M, Preuss R, Brown S, Russell C 2003 Previous
history of LBP with work loss is related to lingering deficits in biomechanical,
physiological, personal, psychosocial and motor control characteristics.
Ergonomics 46:731-746.
48. McGill SM, Childs A, Liebenson C 1999 Endurance times for stabilization
exercises: clinical targets for testing and training from a normal database. Arch
Phys Med Rehabil 80: 941-944.
49. McGill, S.M. (2009) Evolving Ergonomics? Ergonomics, 52(1): 80-86.
50. McGill, S.M., Karpowicz, A. (2009) Exercises for spine stabilization:
Motion/Motor patterns, stability progressions and clinical technique. Arch. Phys.
Med. and Rehab., 90: 118-126.
51. McGill, S.M., McDermott, A., Fenwick, C. (2008) Comparison of different
strongman events: Trunk muscle activation and lumbar spine motion, load and
stiffness, Journal of Strength and Conditioning Research. 23(4): 1148-1161
52. Mens JM, Vleeming A, Snijders CJ, et al. 2001 Reliability and validity of the
active straight leg raise test in posterior pelvic pain since pregnancy. Spine
26:1167-1171.
53. Nelson-Wong E, Flynn T, Callaghan JP. Development of active hip abduction as
a screening test of identifying occupational low back pain. J Orthop Sports Phys
Ther 2009;39:649-657.
54. Ostelo RWJG, de Vet JCW, Vlaeyen JWS, Kerckhoffs MR, Berfelo WM, Wolters
PMJC, van den Brandt PA. Behavioral graded activity following first-time lumbar
disc surgery. Spine 2003; 28:1757-1765.
55. Ostelo, R.W.J.G., Stomp-van den berg, S.G.M., Vlaeyen, J.W.S., Wolters,
P.M.J.C. and de Vet, H.C.W.. Health care providers' attitudes and beliefs towards
chronic low back pain: the development of a questionnaire. Manual Therapy
2003; 8:214–222.
56. O'Sullivan PB (2000) Lumbar segmental 'instability': clinical presentation and
specific stabilizing exercise management. Man Ther 5: 2-12.
57. Panjabi MM. The stabilizing system of the spine. Part 1. Function, dysfunction,
adaptation, and enhancement. J Spinal Disorders 1992;5:383-389.
58. Pool-Goudzwaard A, Vleeming A, Stoeckart C, Snijders CJ, Mens MA.
Insufficient lumbopelvic stability: a clinical, anatomical and biomechanical
approach to “a-specific” low back pain. Man Ther 1998:3;12-20.
59. Powers CM. The influence of altered lower-extremity kinematics on
patellofemoral joint dysfunction: a theoretical perspective. J Ortho Sp Phys Ther
2003;33:639-646.
60. Powers CM. The influence of abnormal hip mechanics on knee injury: a
biomechanical perspective. J Ortho Sp Phys Thera 2010;40:42-51.
135. Radebold A, Cholewicki J, Polzhofer BA, Greene HS. Impaired postural control
of the lumbar spine is associated with delayed muscle response times in patients
with chronic idiopathic low back pain. Spine 2001;26:724-730.
136. Radebold A, Cholewicki J, Panjabi MM, Patel TC 2000. Muscle response
pattern to sudden trunk loading in healthy individuals and in patients with
chronic low back pain. Spine 25:947-954.
137. Reynolds G. NY TIMES JUNE 17, 2009 “Is Your Ab Workout Hurting Your
Back?”
http://well.blogs.nytimes.com/2009/06/17/core-myths/
138. Sciascia, A.D.; Kibler, W.B. Conducting the “Non-Shoulder” Shoulder
Examination. The Journal of Musculoskeletal Medicine 23(8): pgs. 582-598,
2006.
139. Sciascia, AD; Kibler, WB. The Pediatric Throwing Athlete: What is the Real
Problem? The Clinical Journal of Sports Medicine 16(6): pgs. 471-477, 2006.
135. Solomonow M, Hatipkarasulu S, Zhou B, Baratta RV, Aghazadeh F.
Biomechanics and EMG of a common idiopathic low back disorder. Spine
2003:28:1235-1248.
61. Sterling M. A proposed new classification system for whiplash associated
disorders – implications for assessment and management. Man Ther 2004;9:6070.
62. Sterling M, Jull G, Vicenzino B, Kenardy J Characterization of acute whiplashassociated disorders. Spine 2004;29:182-188.
63. Stuge B, Laerum E, Kirkesola G, Vollestad N. The effect of a treatment program
focusing on specific stablilizing exercises for pelvic girdle pain after pregnancy.
A randomized controlled trial. Spine 2004;29:351-359.
64. Takala EP, Vikari-Juntura E 2000 Do functional tests predict low back pain.
Spine 25(16):2126-2132.
65. Von Korff M, Moore JE, Lorig K,et al. A randomized trial of a lay-led selfmanagement group intervention for back pain patients in primary care. Spine
1998;23:2608–15
66. Von Korff M, Balderson BH, Saunders K, Miglioretti DL, Lin EH, Berry S,
Moore JE, Turner JA. A trial of an activating intervention for chronic back pain in
primary care and physical therapy settings. Pain. 2005 Feb;113(3):323-30.
67. Vlaeyen JWS, Morley S. Active despite pain: the putative role of stop-rules and
current mood. Pain 2004;110:512-516.
68. Wainner RS, Whitman JM, Cleland JA, Flynn TW. Regional interdependence: A
musculoskeletal examination model whose time has come. J Orthop Sports Phys
Ther 2007;37(11):658-660.
69. Yeomans S, Liebenson CS. Quantitative functional capacity evaluation: The
missing link to outcomes assessment.. Topics in Clinical Chiropractic, 3:1;32-44,
1996.
70. Yeomans S, Liebenson CS. Functional capacity evaluation and chiropractic case
management. Topics in Clinical Chiropractic, 3:3;15-26, 1996.
71. Yeomans S, Liebenson CS. Applying outcomes management to clinical practice.
Journal of Neuromusculoskeletal System, 5;1-14, 1997.